Old Nat Drugs, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

OLD NAT DRUGS, LLC

Doing business as

Old Nat Pharmacy

Practice address

5495 Old National Hwy Ste C2
College Park, GA 30349-3256

Phone

(000) 000-0000

NPI assigned

Dec 1, 2022

Last updated

Dec 1, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Linda Davis, PHARMD

Title

Pharmacist in Charge

Phone

(843) 307-5789

Specialties & licenses 2

Addresses

Other names 1

• Old Nat Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Old Nat Drugs LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Old Nat Drugs, LLC

  dba Old Nat Long Term Care Pharmacy

  • Long Term Care Pharmacy
  • College Park, GA
  • NPI 1124715909
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1073223855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5558 VILLAGE TRCE",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302915147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5495 OLD NATIONAL HWY STE C2",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493256",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD NAT DRUGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "843-307-5789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Old Nat Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kofi Ofori-Owusu, RN
• Kaisha Ogilvie, DPT
• Christain C. Ohagwu, M.D.
• Ifetayo I. Ojelade, PH.D.
• Freddie Okoye
• Old Nat Drugs, LLC (Old Nat Long Term Care Pharmacy)
• Old National Drug Pharmacy
• Old National OB- GYN, LLC
• Orchard Human Services, Inc.
• Orsetto LLC

• Community/Retail Pharmacy in College Park, GA
• Providers in College Park, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.